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KEY FACTS
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
- Apical aortic conduit; apicoaortic conduit
- Apicoaortic bypass
Definitions
- Extraanatomic valved graft connecting left ventricular apex to descending thoracic aorta
- Typically used in patients with severe aortic stenosis and porcelain aorta or other condition precluding median sternotomy (e.g., retrosternal coronary grafts)
- Complex congenital left ventricular outflow tract anomalies ± hypoplastic ascending aorta and arch
- Extraanatomic valved graft connecting left ventricular apex to descending thoracic aorta
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Perlman GY et al: First transcatheter valve-in-valve implantation in an apicoaortic conduit. Catheter Cardiovasc Interv. 91(7):E86-9, 2018
- Jneid H et al: Transcatheter aortic valve replacement as a treatment for late apicoaortic conduit obstruction in a patient with severe aortic stenosis. Circulation. 127(11):e491-4, 2013
- Domoto S et al: Apicoaortic bypass for a patient with structural valve deterioration of a 19 mm bioprosthetic valve. Interact Cardiovasc Thorac Surg. 14(1):105-7, 2012
- Filsoufi F et al: Apicoaortic conduit. Semin Thorac Cardiovasc Surg. 24(3):202-5, 2012
- Nance JW et al: Apicoaortic conduits: indications, complications, and imaging techniques. J Thorac Imaging. 27(3):141-7, 2012
- Elmistekawy E et al: Apico-aortic conduit for severe aortic stenosis: technique, applications, and systematic review. J Saudi Heart Assoc. 22(4):187-94, 2010
- Faletra F et al: Multidetector computed tomography image of apical left ventricular descending aorta conduit. Heart. 93(4):449, 2007
- Chiu KM et al: Images in cardiovascular medicine. Left ventricle apical conduit to bilateral subclavian artery in a patient with porcelain aorta and aortic stenosis. Circulation. 113(9):e388-9, 2006
- Brown JW et al: Long-term results of apical aortic conduits in children with complex left ventricular outflow tract obstruction. Ann Thorac Surg. 80(6):2301-8, 2005
- Freeman LJ et al: The longest functioning apical left ventricular to descending aortic valve conduit. Ann Thorac Surg. 79(4):1420, 2005
- Fogel MA et al: Evaluation and follow-up of patients with left ventricular apical to aortic conduits with 2D and 3D magnetic resonance imaging and Doppler echocardiography: a new look at an old operation. Am Heart J. 141(4):630-6, 2001
- Renzulli A et al: Long-term results of apico-aortic valved conduit for severe idiopathic hypertrophic subaortic stenosis. Tex Heart Inst J. 27(1):24-8, 2000
Related Anatomy
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References
Tables
Tables
KEY FACTS
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
- Apical aortic conduit; apicoaortic conduit
- Apicoaortic bypass
Definitions
- Extraanatomic valved graft connecting left ventricular apex to descending thoracic aorta
- Typically used in patients with severe aortic stenosis and porcelain aorta or other condition precluding median sternotomy (e.g., retrosternal coronary grafts)
- Complex congenital left ventricular outflow tract anomalies ± hypoplastic ascending aorta and arch
- Extraanatomic valved graft connecting left ventricular apex to descending thoracic aorta
IMAGING
General Features
Imaging Recommendations
Radiographic Findings
CT Findings
MR Findings
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Perlman GY et al: First transcatheter valve-in-valve implantation in an apicoaortic conduit. Catheter Cardiovasc Interv. 91(7):E86-9, 2018
- Jneid H et al: Transcatheter aortic valve replacement as a treatment for late apicoaortic conduit obstruction in a patient with severe aortic stenosis. Circulation. 127(11):e491-4, 2013
- Domoto S et al: Apicoaortic bypass for a patient with structural valve deterioration of a 19 mm bioprosthetic valve. Interact Cardiovasc Thorac Surg. 14(1):105-7, 2012
- Filsoufi F et al: Apicoaortic conduit. Semin Thorac Cardiovasc Surg. 24(3):202-5, 2012
- Nance JW et al: Apicoaortic conduits: indications, complications, and imaging techniques. J Thorac Imaging. 27(3):141-7, 2012
- Elmistekawy E et al: Apico-aortic conduit for severe aortic stenosis: technique, applications, and systematic review. J Saudi Heart Assoc. 22(4):187-94, 2010
- Faletra F et al: Multidetector computed tomography image of apical left ventricular descending aorta conduit. Heart. 93(4):449, 2007
- Chiu KM et al: Images in cardiovascular medicine. Left ventricle apical conduit to bilateral subclavian artery in a patient with porcelain aorta and aortic stenosis. Circulation. 113(9):e388-9, 2006
- Brown JW et al: Long-term results of apical aortic conduits in children with complex left ventricular outflow tract obstruction. Ann Thorac Surg. 80(6):2301-8, 2005
- Freeman LJ et al: The longest functioning apical left ventricular to descending aortic valve conduit. Ann Thorac Surg. 79(4):1420, 2005
- Fogel MA et al: Evaluation and follow-up of patients with left ventricular apical to aortic conduits with 2D and 3D magnetic resonance imaging and Doppler echocardiography: a new look at an old operation. Am Heart J. 141(4):630-6, 2001
- Renzulli A et al: Long-term results of apico-aortic valved conduit for severe idiopathic hypertrophic subaortic stenosis. Tex Heart Inst J. 27(1):24-8, 2000
